Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Ep PLLC

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1851245047

Jacksonville Ep PLLC is an Emergency Medical Services (Emergency Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12625 Beach Blvd
Jacksonville, FL 32246
Phone: (713) 660-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X

Record details

NPI number1851245047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keelyn Marlatt — Director Of Revenue Cycle · (713) 660-0557
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address6030 S Rice Ave Ste C, Houston, TX 77081-2944

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